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Marc Bell started playing drums in 1971 with a heavy metal band, Dust, which included Kenny Aaronson on bass and Richie Wise on guitar, and was produced by Kenny Kerner. Bell recorded two albums with the band, before getting into the punk scene. In late 1972, following the death of New York Dolls original drummer Billy Murcia, Bell auditioned as a replacement and was the only seriously considered alternative to the eventual chosen candidate, Jerry Nolan.[3] In the mid-70s he played with Wayne County and the Backstreet Boys.[4] Wayne County would go on to become rock's first transsexual singer. In the mid 1970s, Bell joined Richard Hell & the Voidoids. He played on the Voidoid's first album, Blank Generation. In May 1978, Bell joined Ramones and was renamed Marky Ramone.

Marky Ramone was with the Ramones for the next five years. He was asked to leave the band in February 1983 for his drinking problems. He returned in August 1987 and played 1700 shows with the band up until their retirement in August 1996.[5]

In 2000, Marky Ramone joined Joey Ramone, lead vocalist of the Ramones, to record Joey's solo album, entitled Don't Worry About Me. Joey Ramone told talk show host Joe Franklin that Marky Ramone was his favorite drummer along with Keith Moon.

In 2002, he recorded some albums with his solo bands Marky Ramone & the Intruders

In September 2004, Ramone served as Executive Producer and released a Ramones DVD entitled Ramones: Raw on Image Entertainment, which featured footage of the band while on tour all over the world along with other various rare, vintage footage. Much of the candid footage is courtesy of Marky Ramone's personal video library. The DVD was finished just in time to include commentary from Johnny Ramone, who died from prostate cancer on September 15, 2004. The commentary also includes Marky Ramone. Ramones: Raw is the only certified Gold selling Ramones DVD and one of only two US gold selling releases in the Ramones entire catalog. The other being the greatest hits double LP Ramones Mania released in 1988. Ramones: Raw is also the highest charting release in the Ramones history.

On April 22, 2008,Ramone appeared on a new CD in Canada playing drums with the Canadian punk band called Teenage Head.[6] The CD is called Teenage Head with Marky Ramone and it was released in the USA on June 10, 2008. It was recorded in 2003 on two separate visits by Marky to Canada.

On March 2013, he was part of the Reverend Martini's All Nite Jumpin' Showcase at Viva Las Vegas #16 where he played a Ramones tribute with Deke Dickerson, Chris Sprague, and Crazy Joe![7] Ramone also played Rock in Rio, on September 14, 2013.

As of 2014 Ramone has been performing with his band Marky Ramone's Blitzkrieg, replacing singer Michael Graves with singer Andrew W.K.